Medical Marijuana Card Cost by State in 2026

A medical marijuana card fee is the smallest part of getting started in most states. The doctor visit usually costs more, and some states charge nothing at all. The table below lists the state fee for each of the nineteen states we cover, sorted however you like. Click a column heading to sort or type a state name to filter.

Card Fees by State


Ohio	$50 per year	$50	1 year	A 2023 state guide. Some veterans and disability recipients get 50 percent off.
Virginia	$50 to register, $50 to renew	$50	Up to 1 year	Registration is voluntary. Practitioner certification costs extra.
Pennsylvania	$50, or no cost for some program participants	$50	Up to 1 year	Medicaid, PACE/PACENET, CHIP, SNAP and WIC participants may qualify for a no-cost card.
Florida	$75 plus $2.75 online	$77.75	1 year	The $75 applies to initial and renewal applications.
New Jersey	Digital card free, printed card $10	$0	2 years	Under a December 2023 Commission waiver.
New York	No state fee	$0	Not stated	You are registered automatically when a provider certifies you. The provider may charge for the visit.
Georgia	$75 from Dec. 5, 2026	$75	Not stated	The current fee was not stated on the page we read.
Michigan	$40 for a two-year card	$20	2 years	From the agency packet. A 2019 release cut it from $60.
Illinois	$50 (1 year), $100 (2 years), $125 (3 years)	$50	1 to 3 years	Reduced fees are $25, $50 and $75.
Oklahoma	$100, or $20 for some programs	$50	2 years	A card processing fee is added. The renewal fee was not stated on the Authority's page.
Arkansas	$50 per year	$50	1 year	A convenience fee may apply to card payments.
Colorado	$52	$52	1 year	Non-refundable, effective Oct. 15, 2024.
Missouri	$28.92 renewal (statute sets $25, adjusted yearly)	$9.64	3 years	Per the Division's fee schedule.
Massachusetts	Free registration	$0	Not stated	Providers can still charge for certification visits.
Arizona	$150, or $75 for SNAP-eligible patients	Not available	Not stated	Per ADHS rules effective Nov. 1, 2024. Non-refundable.
Louisiana	No state card fee found	Not available	Up to 12 months	Patients get a clinician recommendation sent to a retailer.
New Mexico	Not found	Not available	Not found	We could not find the fee in our sources.
California	Set by each county	Not available	Varies	The county Medical Marijuana Identification Card is optional.
North Carolina	No program	Not available	Not applicable	North Carolina has no medical marijuana program.

Per-year figures divide the fee by the card term where the term is known. Georgia's term was not stated, so its figure is the listed fee. Fees come from the state agency pages linked in each guide and change, so confirm before you pay.

What Stands Out

The cheapest route is New York. The state charges no registration fee, and a provider's certification registers you automatically. Your provider may still charge for the evaluation.
New Jersey is nearly as cheap. A digital card is free and a printed one costs $10, with both valid for two years.
Pennsylvania and Ohio sit at $50 a year. Pennsylvania waives the fee for some program participants. Ohio's figure comes from a 2023 guide, so confirm today's fee.
Georgia is about to rise. The Department of Public Health says the card fee goes to $75 at 12:01 a.m. on Dec. 5, 2026. Read our short explainer.
Florida adds a small online charge. The $75 application fee carries a $2.75 convenience fee when you pay online, and returned payments add $15.
Illinois rewards longer terms. A three-year card at $125 works out to about $42 a year, against $50 for one year.
Michigan charges $40 for two years, about $20 a year, per the agency's patient packet.
Massachusetts charges nothing to register. The Cannabis Control Commission says registering and renewing is free, and a replacement card is $10.
Missouri cards last three years. The renewal fee is $28.92, which works out to under $10 a year.
Colorado charges $52 a year, and Oklahoma charges $100 for two years plus a processing fee.
Arizona is the priciest we found. ADHS rules list $150, or $75 for SNAP-eligible patients.

What the Card Fee Does Not Cover

None of these fees includes the clinical visit that gets you certified, the products you buy, or travel to a dispensary. In New York the state says some providers charge for the evaluation. In Virginia the registration fee is separate from whatever your practitioner charges. Add those costs before you decide whether a card makes sense, and see our renewal rules guide for how often you will pay again.

States With No Medical Program

North Carolina has no medical marijuana program, so there is no card to buy. California uses an optional county card, so the fee depends on where you live. If you are comparing programs from a different state, our state-by-state comparison shows adult-use status next to each fee.

Frequently Asked Questions

Which state has the cheapest medical marijuana card?

New York charges no state fee, and New Jersey's digital card is free. Your provider may still charge for the evaluation.

Is the card fee the same every year?

It depends on the state. Ohio, Pennsylvania, Virginia and Florida charge annually. New Jersey and Michigan use two-year cards, and Illinois offers one, two and three year terms.

Do any states waive the card fee?

Pennsylvania waives it for some Medicaid, PACE, CHIP, SNAP and WIC participants. New Jersey waives it for digital cards. Illinois offers reduced fees, and Ohio's rule document lists a 50 percent reduction for some veterans and disability recipients.

Why is Georgia's fee changing?

The Department of Public Health's page says the card fee increases to $75 effective 12:01 a.m. on Dec. 5, 2026. The page did not explain why.

Read the State Guides

Last verified November 13, 2026. Fees and rules change, and each state guide links its sources. Educational only, not medical or legal advice.